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WITCORF, INC.

Company Details

Entity Name: WITCORF, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 26 Jun 1996 (29 years ago)
Document Number: P96000054951
FEI/EIN Number 650676146
Address: 1085 KANE CONCOURSE, BAY HARBOR Island, FL, 33154, US
Mail Address: 1085 Kane Concourse, Bay Harbor Islands, FL, 33154, US
ZIP code: 33154
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1790706984 2006-07-22 2020-08-22 1085 KANE CONCOURSE, BAY HARBOR ISLANDS, FL, 331542105, US 1085 KANE CONCOURSE, BAY HARBOR ISLANDS, FL, 331542105, US

Contacts

Phone +1 305-962-7155
Fax 3058615558

Authorized person

Name MRS. LISHKA C. WITTELS
Role ASSISTANT ADMINISTRATOR
Phone 3053681755

Taxonomy

Taxonomy Code 273Y00000X - Rehabilitation Hospital Unit
License Number 104876
State FL
Is Primary Yes

Agent

Name Role Address
MARCUS ALAN J Agent 20803 BISCAYNE BLVD., NORTH MIAMI, FL, 33180

Director

Name Role Address
WITTELS MICHAEL B. M.D Director 1085 KANE CONCOURSE, BAY HARBOR, FL, 33154

President

Name Role Address
WITTELS MICHAEL B. M.D President 1085 KANE CONCOURSE, BAY HARBOR, FL, 33154

Date of last update: 01 Jan 2025

Sources: Florida Department of State